Lab Results Interfaces S&I Framework Initiative

1. Lab Results InterfacesS&I Framework Initiative Bi-Weekly Initiative Meeting July 18, 2011

2. Agenda • Moving Forward • LRI Validation Suite/Pilots Update • Implementation Guide Update • Workgroup Updates • Q&A + Group Discussion

3. Summer of Standards Harmonization F2FMeeting Begin Code Development IG Recommendation • April: • Lab Reporting Implementation Guide Analysis – policy and Conceptual Designs drafted • In-scope Test approach reviewed and outlined • May: • Recommendations for IG • Clinical Information Models drafted • Conceptual Designs completed • Vocabulary alignments completed • Complete Public Health High Level Roadmap • June: • Final F2F Meeting to come to consensus (proposed Jun 13-15) • Prepare documented specifications and handoff to RI/DP • Model and XML-Driven Specifications drafted • Finalized XML and Model-Driven Spec Handoffs to RI/DP and begin working code development • July: • Recommendation to HITSC • Initial Pilot Implementations • August: • Review working code/pilots with UCR/Harmonization (user acceptance) • September: • “Key Stakeholder” Messaging and Outreach • Fall: • Draft MU Stage 2 Rule Major Upcoming Milestones We Are Here

4. LRI Validation Suite WG Charter (Draft: subject to WG member consensus) • Purpose • Provide a suite of HL7v2 validation tools for testing LRI conformance • Provide a set of test data for LRI Test Results • Determine whether the LRI Implementation Guide (IG) is valid • Scope • NIST and the LRI Validation Workgroup will collaborate in tool development • Extent of CLIA message compliance will be explicitly reported • LRI Workgroup members will serve as SMEs to develop lab message test data • Objectives • Design and build LRI sender (e.g., LIS) and receiver (e.g., EHR) simulators capable of working together to handle LRI-compliant HL7 messages • Design and build CLIA Compliance tool with reporting • Formulate and generate complete lab test data set • Provide feedback to LRI IG, and Vocabulary Workgroup of test results (esp. OIDS, UCUM, SNOMED CT and LOINC) Action Items • Establish Workgroup • Call for Volunteers: WG Committed Members and WG Leads • Establish collaborative environment with NIST • Software Development • Test Data and Test Plan • Conduct User Acceptance Testing

5. LRI Pilots WG Charter (Draft: subject to WG member consensus) • Purpose • Provide Specifications and Project Management for the LRI Pilots • Determine whether the LRI Implementation Guide (IG) is implementable • Determine if the Vocabulary concepts being developed as a part of LRI are implementable • Determine if the Laboratory Tests and Test Results definition defined by the Use Case are implementable. • Scope • Production level LISs and EHRs • IHE Connectathon/HIMSS Interoperability Showcase eligible • Objectives • Complete the Pilot Testing goals outlined in the LRI Strategy Statement • Answer the question: is LRI implementable? Action Items • Establish Workgroup • Call for Volunteers: WG Committed Members and WG Leads • Build a list of potential Pilot participants • Capture lessons learned from existing Lab Pilots • Conduct Pilots and Document Lessons Learned

6. Implementation Guide Update • An Implementation Guide Tiger Team was created to move the IG forward and ensure technical and grammatical accuracy. LRI WG Leads will provide additional SME expertise and overview for guide development. • Bob Yencha created a starting point for building the new IG, beginning with the Public Health guide because it has multiple profiles built in • A draft LRI IG was distributed Friday, July 15th for review by this tiger team. • Guide development will be coordinated with the Use Case and the Vocab WGs for their content to be written and incorporated into the guide • Awaiting update from HL7 on whether their HIT technical steering committee approved the IG project for balloting out-of-cycle • The Implementation Guide Executive Summary slide deck for ONC’s presentation to the HIT Steering Committee will be completed this week and posted to the wiki.

7. Implementation Guide Analysis WG • Volunteer Leads: Ken McCaslin, Hans Buitendijk Action Items/Next Steps • Complete data type variance analysis this week • Offer subject matter expertise for the Implementation Guide Tiger Team Next Steps • WG Leads will support Lab IG content and editorial review to move draft towards HL7 balloting

8. Vocabulary WG • Volunteer Lead: Cindy Johns Action Items • The Vocab Consensus Statement was officially closed for voting COB Friday July 15th. Comments will continue to be reviewed over the coming days • All consensus recommendations are on this page for review, and these recommendations may be incorporated into the Lab IG as needed. Next Steps • Tuesday’s meeting will mark the closure of the Vocab WG in its present form; moving forward, the WG will focus on the pending new HL7 table for Universal Service Class for the IG WG

9. Architecture & Implementation Requirements WG • Volunteer Leads: Robert Lutolf and Rob Allen Action Items • The main wiki page was restructured to appropriately reflect the different projects and initiatives within the Arch/IR WG Next Steps • Final consensus votes for the LRI Pilot Demonstration, Sequence Diagrams/Activity Diagrams, Deployment Models, and LRI Policy and Service Identification will be reviewed during Monday’s meeting • The Arch/IR WG will be breaking into two new WGs: Validation Suite Workgroup and a Pilots Workgroup

10. Public Health Lab Reporting WG • Volunteer Leads: Kosta Makrodimitris, Riki Merrick, Anna Orlova Action Items • The name of the initiative is up for debate to reflect the WG’s updated charter – “Public Health Reporting” or “Public Health Case Reporting”? • Focus on identifying a full picture of Public Health Reporting and identifying the Use Cases and standards associated with that Next Steps • Continue working on defining short and long term milestones in the charter

11. Q&A + Group Discussion